Evidence map›Paper›PMID 26903594›Full record

ReviewThorax2016

Advancing clinical development pathways for new CFTR modulators in cystic fibrosis.

Nicole Mayer-Hamblett, Michael Boyle, Donald VanDevanter

Open access · hybridAbstract readReview
In one paragraph

Review in Thorax, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Building global development strategies for cf therapeutics during a transitional cftr modulator era.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2020
    Review
  9. Review
  10. The future of cystic fibrosis care: a global perspective.The Lancet. Respiratory medicine · 2020
    Review
  11. RNA Sequencing: A Potentiator of Discovery-based Research.American journal of respiratory cell and molecular biology · 2019
    Article
  12. Article
  13. Article
  14. Genetic and phenotypic traits of children and adolescents with cystic fibrosis in Southern Brazil.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Nicole Mayer-HamblettDepartment of Pediatrics and Biostatistics, University of Washington, Seattle, Washington, USA Seattle Children's Hospital, Seattle, Washington, USA.
Michael BoyleCystic Fibrosis Foundation, Bethesda, Maryland, USA John Hopkins School of Medicine, Baltimore, Maryland, USA.
Donald VanDevanterCase Western Reserve University School of Medicine, Cleveland, Ohio, USA.
Cystic Fibrosis Foundation · USUniversity of Washington · USUniversity School · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss, Lucas R Hoffman · 2010 to 2026
$21.4M
NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1TR000423NCATS NIH HHS UL1 TR002319NIDDK NIH HHS P30 DK089507NIDDK NIH HHS P30DK089507
6 · The paper itself

Abstract

Cystic fibrosis (CF) is a life-shortening genetic disease affecting approximately 70,000 individuals worldwide. Until recently, drug development efforts have emphasised therapies treating downstream signs and symptoms resulting from the underlying CF biological defect: reduced function of the CF transmembrane conductance regulator (CFTR) protein. The current CF drug development landscape has expanded to include therapies that enhance CFTR function by either restoring wild-type CFTR protein expression or increasing (modulating) the function of mutant CFTR proteins in cells. To date, two systemic small-molecule CFTR modulators have been evaluated in pivotal clinical trials in individuals with CF and specific mutant CFTR genotypes that have led to regulatory review and/or approval. Advances in the discovery of CFTR modulators as a promising new class of therapies have been impressive, yet work remains to develop highly effective, disease-modifying modulators for individuals of all CF genotypes. The objectives of this review are to outline the challenges and opportunities in drug development created by systemic genotype-specific CFTR modulators, highlight the advantages of sweat chloride as an established biomarker of CFTR activity to streamline early-phase development and summarise options for later phase clinical trial designs that respond to the adoption of approved genotype-specific modulators into standard of care. An optimal development framework will be needed to move the most promising therapies efficiently through the drug development pipeline and ultimately deliver efficacious and safe therapies to all individuals with CF.

Indexed as

MutationAminophenolsAminopyridinesBenzodioxolesBiomarkersClinical Trials as TopicCritical PathwaysCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDrug CombinationsGenetic TherapyGenotypeHumansMolecular Targeted TherapyQuality of LifeQuinolonesAminophenolsAminopyridinesBenzodioxolesBiomarkersCFTR protein, humanCystic Fibrosis Transmembrane Conductance RegulatorDrug Combinationslumacaftor, ivacaftor drug combinationQuinolonesCystic FibrosisRare lung diseases

Identifiers

PMID26903594
PMCPMC4853537
OpenAlexW2275478682

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.